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Chapter 1: Problem 40

The nurse overhears the patient care assistant speaking harshly to the client with dementia. The charge nurse should: A. Change the nursing assistant's assignment B. Explore the interaction with the nursing assistant C. Discuss the matter with the client's family D. Initiate a group session with the nursing assistant

Short Answer

Expert verified
Answer: The most appropriate action for the charge nurse to take is to explore the interaction with the nursing assistant, as it directly addresses the issue and allows for personalized guidance and improvement in patient care.

Step by step solution

01

Analyze Option A

Change the nursing assistant's assignment: This option involves moving the nursing assistant to a different client, perhaps to avoid any further conflicts or inappropriate behavior. However, this doesn't address the issue and might repeat with other clients. Therefore, this is not the most suitable approach.
02

Analyze Option B

Explore the interaction with the nursing assistant: In this option, the charge nurse takes a more proactive approach by discussing the situation with the nursing assistant and trying to understand the reasons behind their behavior. This allows the charge nurse to assess the nursing assistant's actions and provide feedback and guidance to improve their patient care skills. It also helps to create an open dialogue between the charge nurse and the nursing assistant, which may prevent similar issues from occurring in the future. This approach seems to be more appropriate compared to Option A.
03

Analyze Option C

Discuss the matter with the client's family: Informing the client's family about this incident may not be a useful course of action. It could cause unnecessary stress and worry for the family, and it doesn't directly address the cause of the problem nor provide a solution to prevent it from occurring again. Thus, this option is not ideal.
04

Analyze Option D

Initiate a group session with the nursing assistant: This option suggests that the charge nurse arranges a group meeting where the issue is addressed collectively. While this approach may help to raise awareness about the importance of appropriate patient care, it does not specifically address the individual nursing assistant's behavior, their reasons for acting in that manner, or provide personalized guidance for improvement. This option may make the nursing assistant feel targeted and singled out, and it might not be the most effective way to resolve the issue in the long term.
05

Choose the most appropriate option

Based on our analysis in steps 1-4, Option B 鈥� exploring the interaction with the nursing assistant 鈥� seems to be the most suitable and effective course of action. It directly addresses the problem and allows the charge nurse to provide personalized guidance to the nursing assistant, promoting better patient care in the future. So, the charge nurse should choose option B: Explore the interaction with the nursing assistant.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Patient Care Communication
Effective communication is a cornerstone in providing high-quality care to patients, especially those with dementia. Dementia patients often have difficulty expressing themselves clearly or understanding others.
Therefore, caregivers need to use simple words and a calm tone when speaking.
  • Be patient and give them time to process what you're saying.
  • Use non-verbal cues like gestures or facial expressions to help convey your message.
Creating a trusting environment is crucial. When caregivers communicate effectively, patients feel more comfortable and secure, which can lead to better health outcomes.
Frequent check-ins to ensure the patient understands and to re-evaluate their needs can make a big difference in their day-to-day experience.
Nursing Assistant Training
Proper training is essential for nursing assistants, particularly when caring for patients with complex needs such as those with dementia. Training programs usually cover a variety of topics including patient care communication, empathy, and recognizing non-verbal cues.
  • Core skills taught include understanding patient behavior and responding appropriately.
  • Training also addresses how to handle challenging situations calmly.
Continuous education and hands-on experience are necessary to keep skills updated and relevant.
Role-playing exercises or shadowing experienced professionals can be very beneficial.
As the healthcare field evolves, nursing assistants need to adapt to new methods and technologies that can improve patient care even further.
Ethical Nursing Practice
Ethical nursing practice is a fundamental aspect of healthcare, ensuring that all actions taken prioritize patient well-being and respect for their rights. For nursing assistants, this means understanding and adhering to ethical guidelines in every interaction.
  • Respect for patient privacy and confidentiality is paramount.
  • Maintaining professionalism, even in challenging situations, is essential.
  • Ethical practice involves advocating for patients who are vulnerable and ensuring they receive proper care.
A solid understanding of ethical principles helps in making informed choices in difficult situations.
Reflection on one鈥檚 actions and seeking guidance when unsure are good practices for maintaining ethical standards in nursing. With strong ethical foundations, nursing assistants can contribute to a safe and supportive care environment.

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Most popular questions from this chapter

The nurse employed in the emergency room is responsible for triage of four clients injured in a motor vehicle accident. Which of the following clients should receive priority in care? A. A 10-year-old with lacerations of the face B. A 15-year-old with sternal bruises C. A 34-year-old with a fractured femur D. A 50 -year-old with dislocation of the elbow

The nurse is assessing the client recently returned from surgery. The nurse is aware that the best way to assess pain is to: A. Take the blood pressure, pulse, and temperature B. Ask the client to rate his pain on a scale of \(0-5\) C. Watch the client's facial expression D. Ask the client if he is in pain

The nurse witnesses the nursing assistant hitting the client in the Iong-term care facility. The nursing assistant can be charged with: A. Negligence B. Tort C. Assault D. Malpractice

The patient is prescribed metronidazole (Flagyl) for adjunct treatment for a duodenal ulcer. When teaching about this medication, the nurse would say: A. "This medication should be taken only until you begin to feel better." B. "This medication should be taken on an empty stomach to increase absorption." C. "While taking this medication, you do not have to be concerned about being in the sun." D. "While taking this medication, alcoholic beverages and products containing alcohol should be avoided."

A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse anticipate? A. Blood pressure every 15 minutes B. Insertion of a Levine tube C. Cardiac monitoring D. Dressing changes two times per day
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